TABLE 2.
Case | Condition | Treatment | Results | P |
---|---|---|---|---|
Oakley et al. (2002)30 case review | PLP for 4 yrs (AKA); 76-yr-old woman | Eight weekly 25-min sessions of hypnosis. | 100% pain relief and continued phantom sensations | n/a |
Review of 11 cases of PLP (duration, 0.5–25 yrs) (arm, AKA, BKA) | Hypnosis sessions (3–64) of varying length. Cases include five ipsative-imagery– and six movement-imagery–based therapies. Five included relaxation training; one, cognitive therapy; and one, mirror therapy. | Reduction in pain frequency or intensity; improvement in physical or psychologic function | n/a | |
Bamford (2006)40; uncontrolled trial (n = 25) | PLP (mean duration, 7 yrs) (arm, leg); 10 women and 15 men aged 27–78 yrs | Six weekly sessions + home practice three times daily using hypnotic analgesia, visualization and movement of imaginary limb, psychologic hypnosis, and self-hypnosis | Significant reduction in median pain after intervention, maintained 6 mos later (NRS, 8 of 10 to 3 of 10); results not sensitive to side (right vs. left) or cause of amputation (trauma vs. other) (Wilcoxon) | <0.001 |
Rickard (2004)38 RCT n = 20 | PLP with/without stump pain (arm, AKA, BKA; 0.5–63 yrs ago); men and women aged 31–70 yrs | Three individual hypnosis sessions vs. waitlisted control | Reduction in pain before to after intervention. By MPQ-SP: intervention group, mean (SD) from 58.8 (26.02) to 10.1 (6.28); control, from 49.5 (25.27) to 46.4 (14.67) (ANOVA) | <0.001 |
AKA, above-the knee (transfemoral) amputation; ANOVA, analysis of variance; BKA, below-the-knee (transtibial) amputation; MPQ-SP, McGill Pain Questionnaire Pain Intensity Scale; NRS, numeric rating scale; PLP, phantom limb pain; n/a, not applicable; RCT, randomized controlled trial.